JOLIET AREA COMMUNITY HOSPICE CORPORATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
JOLIET AREA COMMUNITY HOSPICE CORPORATION (EIN 36-3191281)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-08-26
IRS object ID
202032399349301093
Schema version
2019v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-26T17:00:25-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363191281EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Joliet Area Community Hospice CorpBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOLIBusinessNameControlTxt
Phone8157404104PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Water Stone CircleAddressLine1Txt
CityJolietCityNm
State AbbreviationILStateAbbreviationCd
ZIP604318313ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonChristopher WardPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2020-08-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJennifer BurkePreparerPersonNm
PTINP01342224PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Mary SheehanBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Water Stone CircleAddressLine1Txt
CityJolietCityNm
State AbbreviationILStateAbbreviationCd
ZIP604318313ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,015,655GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.joliethospice.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionJoliet Area Community Hospice provides comprehensive, holistic, community-based services and care.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee222TotalEmployeeCnt
Total Volunteers265TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,654,461PYContributionsGrantsAmt
CY Contributions Grants$1,935,431CYContributionsGrantsAmt
PY Program Service Revenue$22,224,622PYProgramServiceRevenueAmt
CY Program Service Revenue$23,559,435CYProgramServiceRevenueAmt
PY Investment Income$819,938PYInvestmentIncomeAmt
CY Investment Income$766,903CYInvestmentIncomeAmt
PY Other Revenue$3,800PYOtherRevenueAmt
CY Other Revenue-$10,894CYOtherRevenueAmt
PY Total Revenue$24,702,821PYTotalRevenueAmt
CY Total Revenue$26,250,875CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,840,130PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,104,982CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$63,977PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$55,113CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$55,113CYTotalFundraisingExpenseAmt
PY Other Expenses$9,525,408PYOtherExpensesAmt
CY Other Expenses$7,710,571CYOtherExpensesAmt
PY Total Expenses$21,429,515PYTotalExpensesAmt
CY Total Expenses$21,870,666CYTotalExpensesAmt
PY Revenues Less Expenses$3,273,306PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,380,209CYRevenuesLessExpensesAmt
Total Assets BOY$30,319,705TotalAssetsBOYAmt
Total Assets EOY$37,209,069TotalAssetsEOYAmt
Total Liabilities BOY$3,784,591TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,053,300TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,535,114NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$33,155,769NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE JOLIET AREA COMMUNITY HOSPICE IS TO PROVIDE COMPREHENSIVE, HOLISTIC, COMMUNITY BASED SUPPORT SERVICES AND CARE FOR TERMINALLY ILL PERSONS, THEIR CAREGIVERS AND LOVED ONES WITHOUT REGARD TO ECONOMIC STATUS, TO ENABLE THE DYING PERSON TO LIVE PEACEFULLY, IN COMFORT, AND WITH DIGNITY TO THE LAST MOMENT OF LIFE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$16,760,258ExpenseAmt
Revenue$23,559,435RevenueAmt
DescPROVIDING A COORDINATED PROGRAM OF SUPPORT, SERVICE AND CARE FOR TERMINALLY ILL PATIENTS AND THEIR CAREGIVERS BOTH THROUGHOUT THE SURROUNDING COUNTIES AND WITHIN OUR 16 BED HOSPICE HOME. JOLIET AREA COMMUNITY HOSPICE SERVED OVER 2,000 PATIENTS IN 2019.Desc
Total Program Service Expenses$16,760,258TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee222EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Anne Van OostBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8157404104PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Water Stone CircleAddressLine1Txt
CityJolietCityNm
State AbbreviationILStateAbbreviationCd
ZIP60431ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CARMEN ROXANNE QUARLES
Secretary in April through December 20191.0Yes (X)Yes (X)$0$0$0
Christopher Ward
TREASURER1.0Yes (X)Yes (X)$0$0$0
GEOFFREY TRYON
Chair1.0Yes (X)Yes (X)$0$0$0
Karen Isberg Sorbero
SECRETARY in December 20191.0Yes (X)Yes (X)$0$0$0
Nannette Alton-Labus
VICE CHAIR1.0Yes (X)Yes (X)$0$0$0
TOM VANA
Vice Chair through March 20191.0Yes (X)Yes (X)$0$0$0
WILLIAM BENOIT
SECRETARY through April 20191.0Yes (X)Yes (X)$0$0$0
Jaya Varghese
DIRECTOR1.0Yes (X)$0$0$0
JD Wright
DIRECTOR1.0Yes (X)$0$0$0
LORRAINE LUCENTA
DIRECTOR1.0Yes (X)$0$0$0
Mark Griglione
DIRECTOR1.0Yes (X)$0$0$0
Mark Karner
DIRECTOR1.0Yes (X)$0$0$0
MARK TURK
DIRECTOR1.0Yes (X)$0$0$0
MICHAEL RITTOF
DIRECTOR1.0Yes (X)$0$0$0
Rob Stanek
DIRECTOR1.0Yes (X)$0$0$0
THOMAS DOHM
DIRECTOR1.0Yes (X)$0$0$0
Anne Van Oost
Chief Financial Officer40.0Yes (X)$161,414$0$2,182
Cynthia Brassea
Chief Operating Officer40.0Yes (X)$108,068$0$9,406
Mary Sheehan
CEO40.0Yes (X)$187,505$0$7,498
Dr Muhamad Krad
Medical Director40.0$438,524$0$15,242Yes (X)
Aisha Brownlee Williams
Nurse Practioner40.0$103,686$0$2,737Yes (X)
Greta Jones
Registered Nurse40.0$104,797$0$15,120Yes (X)
Laureen M Mungovan
Registered Nurse40.0$120,510$0$14,090Yes (X)
Maureen Gorszczyk
Nurse Practioner40.0$107,382$0$4,880Yes (X)
Taryn Shelby
Nurse Practioner40.0$109,759$0$72Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,441,645TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$71,227TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
Elite Therapy and Management
10547 Owen DrOrland ParkIL60467Home Health Services$267,712
Samir B Patel
856 Spring Valley CtSchaumburgIL60193Triage Services$216,040
The Ethos Workshop Ltd
105 Jackson AveNapervilleIL60540Architectural Firm$210,485Suite 1
Excel Mechanical Contractors
25041 Timber CtElwoodIL60421Mechanical Contractors$128,365
Jean Heer
2114 Quail CourtRolling MeadowsIL60008Reiki Therapy$121,949
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Federated Campaigns$34,024FederatedCampaignsAmt
Fundraising$195,211FundraisingAmt
All Other Contributions$1,706,196AllOtherContributionsAmt
Noncash Contributions$279,325NoncashContributionsAmt
Total Contributions$1,935,431TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHOSPICE CARE SERVICESDesc
Business621610BusinessCd
Total Revenue Column$23,559,435TotalRevenueColumnAmt
Related Or Exempt Func Income$23,559,435RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$23,559,435TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$626,325TotalRevenueColumnAmt
Exclusion$626,325ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,849,632SecuritiesAmt
Other$3,588OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,712,642SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$136,990SecuritiesAmt
Other$3,588OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$140,578TotalRevenueColumnAmt
Exclusion$140,578ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$40,650FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$195,211ContriRptFundraisingEventAmt
Fundraising Direct Expenses$52,138FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,488TotalRevenueColumnAmt
Exclusion-$11,488ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescVending IncomeDesc
Business900099BusinessCd
Total Revenue Column$594TotalRevenueColumnAmt
Exclusion$594ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$594OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,250,875TotalRevenueColumnAmt
Related Or Exempt Func Income$23,559,435RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$756,009ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$929,839TotalAmt
Program Services$734,573ProgramServicesAmt
Management And General$195,266ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,286,656TotalAmt
Program Services$8,118,397ProgramServicesAmt
Management And General$2,168,259ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$228,881TotalAmt
Program Services$180,634ProgramServicesAmt
Management And General$48,247ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,852,657TotalAmt
Program Services$1,462,256ProgramServicesAmt
Management And General$390,401ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$806,949TotalAmt
Program Services$636,908ProgramServicesAmt
Management And General$170,041ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$15,013TotalAmt
Management And General$15,013ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$67,964TotalAmt
Management And General$67,964ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$55,113TotalAmt
Fundraising$55,113FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$39,297TotalAmt
Management And General$39,297ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,893,772TotalAmt
Program Services$1,248,793ProgramServicesAmt
Management And General$644,979ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$142,186TotalAmt
Management And General$142,186ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$624,801TotalAmt
Program Services$202,293ProgramServicesAmt
Management And General$422,508ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$263,831TotalAmt
Program Services$210,550ProgramServicesAmt
Management And General$53,281ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$420,869TotalAmt
Program Services$379,714ProgramServicesAmt
Management And General$41,155ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$94,384TotalAmt
Program Services$4,035ProgramServicesAmt
Management And General$90,349ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$310,235TotalAmt
Program Services$196,267ProgramServicesAmt
Management And General$113,968ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$125,015TotalAmt
Program Services$43,452ProgramServicesAmt
Management And General$81,563ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$2,057,859$2,057,859
PHARMACY$1,138,275$1,138,275
REPAIRS & MAINTENANCE$273,006$145,170$127,836
DUES & SUBSCRIPTIONS$87,639$1,082$86,557

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$156,425TotalAmt
Program Services$0ProgramServicesAmt
Management And General$156,425ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,870,666TotalAmt
Program Services$16,760,258ProgramServicesAmt
Management And General$5,055,295ManagementAndGeneralAmt
Fundraising$55,113FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$999EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,752,534BOYAmt
EOY$7,681,765EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,152,746BOYAmt
EOY$4,403,137EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$249,329BOYAmt
EOY$403,840EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,097,354LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,688,499LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,711,497BOYAmt
EOY$5,408,855EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$15,881,510BOYAmt
EOY$18,895,265EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$571,089BOYAmt
EOY$415,208EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,319,705BOYAmt
EOY$37,209,069EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,756,263BOYAmt
EOY$3,891,872EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,328BOYAmt
EOY$161,428EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,784,591BOYAmt
EOY$4,053,300EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,736,144BOYAmt
EOY$31,656,058EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$798,970BOYAmt
EOY$1,499,711EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,535,114BOYAmt
EOY$33,155,769EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,319,705BOYAmt
EOY$37,209,069EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,380,209ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,240,446NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$900,430CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,049,892CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,397,623CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,466,430CurrentTaxYearMinus1YearAmt
Current Tax Year$1,935,431CurrentTaxYearAmt
Total$6,749,806TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,744,261CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,724,839CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,838,026CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,224,622CurrentTaxYearMinus1YearAmt
Current Tax Year$23,559,435CurrentTaxYearAmt
Total$90,091,183TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,644,691CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,774,731CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,235,649CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,691,052CurrentTaxYearMinus1YearAmt
Current Tax Year$25,494,866CurrentTaxYearAmt
Total$96,840,989TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$96,840,989PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$521,224CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$396,794CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$573,915CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$739,222CurrentTaxYearMinus1YearAmt
Current Tax Year$626,325CurrentTaxYearAmt
Total$2,857,480TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$521,224CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$396,794CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$573,915CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$739,222CurrentTaxYearMinus1YearAmt
Current Tax Year$626,325CurrentTaxYearAmt
Total$2,857,480TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,165,915CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,171,525CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,809,564CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,430,274CurrentTaxYearMinus1YearAmt
Current Tax Year$26,121,191CurrentTaxYearAmt
Total$99,698,469TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9713PublicSupportCY509Pct
Public Support PY5090.9675PublicSupportPY509Pct
Investment Income CY0.0287InvestmentIncomeCYPct
Investment Income PY0.0325InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$679GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$679TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationThe organization pays dues to NHPCO. The portion of dues paid to NHPCO that are allocable to lobbying are $679.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$187,500OtherCostOrOtherBasisAmt
Book Value$187,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,813,789OtherCostOrOtherBasisAmt
Depreciation$4,171,257DepreciationAmt
Book Value$3,642,532BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$194,701OtherCostOrOtherBasisAmt
Depreciation$31,777DepreciationAmt
Book Value$162,924BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,931,212OtherCostOrOtherBasisAmt
Depreciation$1,485,465DepreciationAmt
Book Value$445,747BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$970,152OtherCostOrOtherBasisAmt
Book Value$970,152BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,408,855TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCAPITAL LEASE PAYABLEDesc
Amt$161,428Amt
FieldValueIRS element (for citing)
Total Liability$161,428TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$28,452,024TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,240,446NetUnrealizedGainsInvstAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$2,240,446RevenueNotReportedAmt
Revenue Subtotal$26,211,578RevenueSubtotalAmt
Investment Expenses Not Incld$39,297InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$39,297RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$26,250,875TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$21,831,369TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$21,831,369ExpensesSubtotalAmt
Investment Expenses Not Incld2$39,297InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$39,297ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$21,870,666TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationThe Organization is exempt from income taxes on income from related activities under Section 501 (c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Organization's Form 990 has not been subject to examination by the Internal Revenue Service or the State of Illinois for the past three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at December 31, 2019 and 2018.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1Amperage Marketing and FundraisingBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16711 Chancellor DrAddressLine1Txt
CityCedar FallsCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50613ZIPCd
FieldValueIRS element (for citing)
ActivityCAPITAL CAMPAIGN FUNDRAISING CONSULTINGActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Gross Receipts$0GrossReceiptsAmt
Retained By Contractor$55,113RetainedByContractorAmt
Net To Organization-$55,113NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$0TotalGrossReceiptsAmt
Total Retained By Contractors$55,113TotalRetainedByContractorsAmt
Total Net To Organization-$55,113TotalNetToOrganizationAmt
Licensed StatesILLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Annual DinnerEvent1Nm
Gross Receipts Event1$73,068GrossReceiptsEvent1Amt
Charitable Contri Event1$60,525CharitableContriEvent1Amt
Gross Revenue Event1$12,543GrossRevenueEvent1Amt
Non Cash Prizes Event1$550NonCashPrizesEvent1Amt
Rent Facility Costs Event1$500RentFacilityCostsEvent1Amt
Food And Beverage Event1$12,598FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$1,553OtherDirectExpensesEvent1Amt
Event2Golf OutingEvent2Nm
Gross Receipts Event2$55,546GrossReceiptsEvent2Amt
Charitable Contri Event2$42,816CharitableContriEvent2Amt
Gross Revenue Event2$12,730GrossRevenueEvent2Amt
Rent Facility Costs Event2$300RentFacilityCostsEvent2Amt
Food And Beverage Event2$12,899FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$903OtherDirectExpensesEvent2Amt
Other Events Total7OtherEventsTotalCnt
Gross Receipts Other Events$107,247GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$91,870CharitableContriOtherEventsAmt
Gross Revenue Other Events$15,377GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$23NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$7,885RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$82FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$14,845OthDirectExpnssOtherEventsAmt
Gross Receipts Total$235,861GrossReceiptsTotalAmt
Charitable Contributions Tot$195,211CharitableContributionsTotAmt
Gross Revenue Total Events$40,650GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$573NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,685RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$25,579FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$17,301OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$52,138DirectExpenseSummaryEventsAmt
Net Income Summary-$11,488NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule G, Part I, Line 2b(ii) Describe the custody or control arrangement.AMPERAGE MARKETING AND FUNDRAISING-FUNDRAISING CONSULTING;
Schedule G, Part I, Line 2b(v) payment of fees or payment of expensesAMPERAGE MARKETING AND FUNDRAISING-THE AGREEMENT PROVIDES THAT THE FULL AMOUNT OF $55,113 WAS FOR THE PAYMENT OF FEES.;

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mary Sheehan
CEO$176,182$0$10,000$0$1,323$0$7,490$0$8$0$195,003$0$0$0
Anne Van Oost
Chief Financial Officer$153,705$0$7,500$0$209$0$1,477$0$705$0$163,596$0$0$0
Dr Muhamad Krad
Medical Director$438,417$0$0$0$107$0$15,234$0$8$0$453,766$0$0$0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution7076ContributionCnt
Noncash Contributions Rpt F990$250,791NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescGift Cards and other itemsDesc
Contribution202ContributionCnt
Noncash Contributions Rpt F990$28,534NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationSecurities - Publicly traded - 4,814 shares of First Midwest Bancorp; 200 shares of Boeing Co; 19 shares of Broadcom Inc; 1,930 shares of First Busey Corp stock; 13 shares of Phillips 66; 100 shares of Apple Other - Gift Cards and other items Number of contributionsExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 1a DELEGATE BROAD AUTHORITY TO A COMMITTEEThe Executive Committee, to the extent permitted by law and the bylaws, has and exercises the authority of the Board of Directors in the governance of the organization between meetings of the Board of Directors. The Executive Committee has the power to transact any and all business in the interim between meetings when acting is urgent and quorum cannot be obtained, except for those powers reserved to the full Board of Directors as described in the bylaws. The Executive Committee consists of the Chair, the Vice Chair, Secretary, Treasurer, and Chief Executive Officer (non-voting). A report of any action and confirmation of said action shall take place at the next Board meeting.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF Other officers or key employeesThe CEO reviews the compensation for other officers and key employees of the organization annually. The process utilizes two different compensation surveys. This process last occurred in 2019.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Form 990 is prepared and reviewed by a public accounting firm. Then, the return is reviewed by Chief Financial Officer. Once this has been done, the completed form 990 is shared with the full board of directors for review, prior to signature.
Form 990, Part VI, Line 12c Conflict of interest policyCONFLICT OF INTEREST POLICIES ARE REVIEWED ANNUALLY and SIGNED BY EVERY BOARD MEMBER AT THE START OF EACH NEW OR RENEWAL TERM. ADDITIONALLY, ALL STAFF AT THE DIRECTOR LEVEL AND ABOVE SIGN CONFLICT OF INTEREST POLICIES. BEFORE EACH BOARD MEETING, THE PRESIDENT OF THE BOARD OF DIRECTORS INQUIRES OF ALL BOARD MEMBERS PRESENT AS TO WHETHER THEY HAVE ANY CONFLICTS OF INTEREST TO DISCLOSE. If necessary, THE BOARD OF DIRECTORS Determines RESTRICTIONS to be imposed on persons with a conflict, such as PROHIBITING them from PARTICIPATING IN DISCUSSIONS and voting on DECISIONS
Form 990, Part VI, Line 15a Process to establish compensation of top management officialThe executive committee of the board of directors meets annually to review the compensation for the CEO. The process utilizes a compensation survey and documentation supporting the executive committee's conclusions is kept by the President. This process last occurred in March 2019.
Form 990, Part VI, Line 19 Required documents available to the publicThe governing documents, conflict of interest policy and financial statements are available upon request for the same period of disclosure as set forth in IRC section 6104(D). They are also available upon request and at our office for inspection.

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